Cross-cultural adaptation, reliability and validity of the DAFS-R in a sample of Brazilian older adults

Arch Clin Neuropsychol. 2010 Jun;25(4):335-43. doi: 10.1093/arclin/acq029.

Abstract

The Direct Assessment of Functional Status-Revised (DAFS-R) is an instrument developed to objectively measure functional capacities required for independent living. The objective of this study was to translate and culturally adapt the DAFS-R for Brazilian Portuguese (DAFS-BR) and to evaluate its reliability and validity. The DAFS-BR was administered to 89 older patients classified previously as normal controls, mild cognitive impairment (MCI) and Alzheimer's disease (AD). The results indicated good internal consistency (Cronbach's alpha = 0.78) in the total sample. The DAFS-BR showed high interobserver reliability (0.996; p < .001) as well as test-retest stability over 1-week interval (0.995; p < .001). Correlation between the DAFS-BR total score and the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) was moderate and significant (r = -.65, p < .001) in the total sample, whereas it did not reach statistical significance within each diagnostic group. Receiver operating characteristic curve analyses suggested that DAFS-BR has good sensitivity and specificity to identify MCI and AD. Results suggest that DAFS-BR can document degrees of severity of functional impairment among Brazilian older adults.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / diagnosis*
  • Alzheimer Disease / ethnology
  • Brazil
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / ethnology
  • Cross-Cultural Comparison*
  • Disability Evaluation
  • Female
  • Humans
  • Independent Living / classification
  • Independent Living / psychology*
  • Male
  • Middle Aged
  • Neuropsychological Tests / statistics & numerical data*
  • Prospective Studies
  • Psychometrics / statistics & numerical data
  • Reference Values
  • Reproducibility of Results
  • Translating